Individual
KIERSTEN ANNE-MOORE CAPOTORTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 ELM ST, EAST HAVEN, CT 06512-2340
(203) 843-2772
Mailing address
350 GEORGE ST, NEW HAVEN, CT 06511-6617
(475) 224-1175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14409
CT
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
06/19/2019
Last updated
09/06/2024
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